ANSWERS
Action correct answer Individuals are actively engaged in behavioral change. This
stage lasts up to 6 months. Nursing intervention in this stage is to identify barriers
to success and motivate/coach pt during periods of relapse (should they occur
Active Strategies of health promotion correct answer individuals adopt specific
health programs to improve their health and reduce illness
(smoking cessation, weight-reduction programs)
Adolescence
Identity vs. Role Confusion correct answer Psychosocial Changes
The search for identify (either make close peer relationships or remain isolated)
Nursing Support
Assist the adolescent in developing sexual identity, group identity (dress and
speech), family identity (more focused on peers and less on parents), and health
identity (evaluation of their own health, smoking, drinking). Educate parents on
these stages.
Adolescence correct answer Identity vs. Role Confusion (dramatic physiological
changes occur and often result in issues with body image, results in asking and
answering the question of "who am I"
Adult correct answer Generativity vs. Self-Absorption/Stagnation (focus moves
toward supporting future generations, expanding personal and social involvement
is critical)
,Age related correct answer premature infants are more susceptible to infection,
as a person ages they are more at risk for heart disease and many forms of cancer
autonomy vs. shame and doubt.
TODDLERS (1+ TO 3 YEARS): correct answer Independence is paramount as
toddlers attempt to do everything for themselves. o Separation anxiety continues
when parents leave.
• Moral Development:o Moral development parallels cognitive development.o
Egocentric - Toddlers are unable to see another's perspective; they can only view
things from their point of
view.o Punishment and obedience orientation begins with a sense that others
reward good behavior and punish
bad behavior.• Self-Concept Development:
o Progressively see themselves as separate from parents and increase their
explorations away from them. • Body-Image Changes:
o Appreciate the usefulness of various body parts. o Develop gender identity by
age 3.
Barriers correct answer Making Behavioral Changes
Inadequate education
Lack of support
Non-specific/ non-attainable goals
Lack of confidence
Doing too much too fast
Lack of planning/monitoring
, Benner & Wrubel correct answer Primary caring
Benner and Wrubel, primary care correct answer __ __ (1989): caring is the
essence of nursing practice. It is through caring that nurses become connected to
their patients. It is through caring that nurses help patients recover from illness,
give meaning to their illness, and maintain or reestablish connection. Caring is
unique with every patient interaction.
Benner's Novice To Expert Model correct answer Examined caring based upon
listening to expert nurses' stories
Caring means that people, events, projects, and things matter to individuals
(Benner and Wrubel, 1989)
Through caring, nurses help others recover from illness, give meaning to their
illness, and maintain or reestablish connections with others
Caring and compassion interventions MUST be taught and practiced early in
nursing education
Every patient is unique and caring behaviors need to be individualized
Cognitive developmental theories correct answer focus on the development of
the child's intellectual thinking, reasoning, and perceptions of the world
Concrete operations correct answer what stage of cognitive developmental
theory is 7-11 yrs - concrete thought patterns - seriation - mentally picture series
of steps/reverse them -(linear patterns of thought) - (FYI- many adults do not
move past this stage of thinking)
Contemplation correct answer Individual is considering a change in the next 6
months. Nursing intervention in this stage is to assist the pt with ambivalent
thinking and get them to make a date for change and put it in writing